License holder summary

MODESTO FONTANEZ is a Medicine - Medical Doctor licensed to practice in Michigan. This medical licensee license is not current. The license was granted 06/02/1995 and expired on 01/31/2011.

Department of Licensing and Regulatory Affairs

Board of Medicine

MODESTO FONTANEZ
Medicine - Medical Doctor
License number
4301066235
Date granted
06/02/1995
Date expires
01/31/2011
Class
Medicine - Medical Doctor
Status
Lapsed
Address
michiganmedical.net
ID 38932960
LAST UPDATED 2024-03-26 17:33:13 UTC

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